Youth Referral Form

Thank you so much for being a referral partner!

Please direct your referral to this link https://bbbs.tfaforms.net/4840791 to fill out the application to enroll their youth in our programs, and we will contact them shortly.

We encourage you as a referral partner to assist the parent/guardian in filling out the application if you can.

If you have any questions or concerns, please email Enrollement@BigLittleColorado.org or call (303) 433-6002

Current Waitlist Status

We currently have a waitlist in the Denver Metro Area for:

Male youth
Families who are primarily Spanish Speaking applying to the program.

We currently have a waitlist in the Pikes Peak Region for:

Community Mentoring Program

Families who meet our basic qualifications, are in our current age range, and have completed an application will be placed on the waitlist and called when interviews become available. Please proceed with making the referral and we will work with the family to have them complete an application to be placed on the waitlist.

Important information before applying

To be a candidate for our programs:

Youth need to be between the ages of 9 and 17.
Priority is given to youth in a single parent home, kinship care, or non-traditional family.
Priority is given to youth who are eligible for free or reduced lunch at school.
If applying for our Community Mentoring program youth must be available a minimum of two times a month to meet with their mentor.
If applying for our Sports Buddies program youth must be available 1-2 Saturdays a month to meet at in person events. The family must have transportation to take the child to and from the events. Unfortunately this program is not a good fit for families that use public transportation.

Important!

Please discuss the program with the family / guardian first, confirm they are interested, and obtain permission before making a referral. If you have questions regarding enrolling a youth and have not spoken to the parent /guardian, please contact Natalie Schofield at natalies@biglittlecolorado.org
If the child does not meet our qualifications or is outside the 9-17 age range there are several other mentoring agencies operating in Colorado. Please Click Here for more information

Hidden Fields

Youth Contact Owner ID

To look up the owner's email for notifications

Youth Contact Owner Email

For notifications

Youth Contact ID

Youth Enrollment ID

Additional Youth Found

YesNo

Youth Information

Which community are you enrolling your youth in?

First Name

Last Name

Birthdate

Enter a date in the following format: mm/dd/yyyy

Age

Gender

How does the youth identify?

School Account ID

Race/Ethnicity

Press CTRL while choosing to select multiple

Guardian Information

Guardian Contact ID

Parent/Guardian First Name

Parent/Guardian Last Name

Guardian's Relationship to Youth

Youth Living Situation

Living Situation Description

Mobile Phone

Personal Email

Family Information

Mailing Street Address

Mailing City

Mailing State

Mailing Zip Code

Mailing County

Is the youth eligible to receive free/reduced lunch?

YesNoNot sure

Primary Language Spoken in home

If the primary language spoken in the home is not English, please let us know the following:

A parent / guardian or an adult in the home has basic proficiency in English to complete an intake callThe parent / guardian will require a interpreter

The Sports Buddies Program requires transportation to the events, which would be 1-2 times a month on Saturdays. This program is typically not a good fit for families that rely on public transportation. If you are familiar with the family's transportation situation please indicate below:

The family has a carThe family has access to a carThe family only uses public transportationI am not familiar with the family's transportation situation

What is your primary reason for you wanting this child to have a Big Brother / Big Sister?

Comments or additional information

Existing Household Members

Please choose this child's relationship to the following people:

Name:	Relationship:
App record ID	contact record ID

Referral Information

If you are submitting this referral form, but you are not the child's parent/guardian, the following information is required. In keeping with Big Brothers Big Sisters of Colorado's confidentiality policy, if you have not spoken to the family about the program and received permission to make this referral we are unable to move forward until you have confirmed that permission has been granted. Thank you!

Your Name

Phone Number

How do you know or work with this child?

If you are a professional that works with this child (teacher, social worker, counselor, other), what organization/school/agency do you represent?

Would you like us to follow up with you regarding this referral before reaching out to the family?

Yes Please!No, you can follow up with the family directly

Before submitting this referral please confirm and check the following:

I have spoken with the child's parent /guardian about this referral and confirmed they are interested in participating and learning more about the program.I have confirmed that the above phone number and email for the family is accurate and up to date.

Non-Discrimination Policy

Big Brothers Big Sisters of Colorado celebrates the diversity of our participants. No volunteer, family member, child, staff or individual is excluded on the basis of race, age (must meet minimum age requirements), color, religion, national origin, gender, gender expression, marital status, sexual orientation, veteran status or disability.

Location